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Organization

CHRISTINE M TWEEDY DDS MSD PS

Active
Other names
Westside Children's Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTINE M TWEEDY DDS MSD (OWNER)
(206) 937-6481
Entity
Organization

Contact information

Practice address
4520 42ND AVE SW, #24, SEATTLE, WA 98116-4240
(206) 937-6481
(206) 937-7043
Mailing address
4520 42ND AVE SW, #24, SEATTLE, WA 98116-4240
(206) 937-6481
(206) 937-7043

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8359
WA
1223G0001X
General Practice Dentistry
8359
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5031596
WA
Enumeration date
06/15/2010
Last updated
06/15/2010
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